Republic of the Philippines
Department of Education
Region IV – A CALABARZON
City Schools Division of Bacoor
BACOOR NATIONAL HIGH SCHOOL – TABING DAGAT
Narrative Report for NLPA (Dropped-out)
Name: ____________________________________ Year & Section: ___________________________
Gender: ___________________________________ Modality: ________________________________
Name of Guardian: __________________________ Contact Number: __________________________
I. Problem:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
II. Action Taken
a. Intervention/ Remediation (if applicable)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Documentation:
EDIT PICTURE HERE EDIT PICTURE HERE
EDIT PICTURE HERE EDIT PICTURE HERE
b. Home Visitation Forms (attached the photocopied forms) & Screenshots from social media
(e.g., Messenger)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
__________________________________________________________________________
Documentation:
EDIT PICTURE HERE EDIT PICTURE HERE
EDIT PICTURE HERE EDIT PICTURE HERE
III. Agreement (scanned or photocopy)
Note:
1. If it’s from social media, a picture of the signed agreement letter must be provided.
2. If it’s done via face to face, a photocopy of the signed agreement letter must be provided.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Documentation:
EDIT PICTURE HERE EDIT PICTURE HERE
Submitted by:
NAME OF THE ADVISER
Grade & Section Handled
Submitted to:
NAME OF THE GUIDANCE TEACHER
Grade Handled
Noted by:
DOMINGO P. EROLES
HT VI, OIC BNHS-TD